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General NPI Number Information
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NPI Number | 1033319173
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Entity Type | Individual
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Provider Name | MONA M. GHOBRIAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 7625 MESA COLLEGE DR STE 250A
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City | SAN DIEGO
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State | CA
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Zip | 92111-5343
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Country | US
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Telephone | 858-314-9222
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Fax | 949-864-2320
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Provider Business Mailing Address
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Address Line | 17332 VON KARMAN AVE STE 110A
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City | IRVINE
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State | CA
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Zip | 92614-6242
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Country | US
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Telephone | 858-314-9222
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Fax | 949-864-2320
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2009-01197
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A116629
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License Number State | CA
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